Viramontes, Dawn
Viramontes, Dawn was paid $3K by Medicaid between Jan 2018 and Mar 2019, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 46% of everything it billed.
33Billing provider infoVIRAMONTES, DAWN
OAKDALE, CA 95361
OAKDALE, CA 95361
33aNPI1750385787assigned 06/08/2005
33bProvider typeOptometrist
28Total paid$3K
24GClaims972
24DCodes billed5
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#1,387 of 1,899
Median peer was paid$23K
This provider vs. median0.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 924 | $3K | |
| 2019 | 48 | $42.71 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 46% | 329 | 323 | $1K |
| V2020 | Frames, purchases | 18% | 114 | 113 | $537.04 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 15% | 98 | 97 | $445.97 |
| 92015 | Determination of refractive state | 12% | 416 | 412 | $367.71 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 9.4% | 15 | 15 | $284.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.